宫廷理筋振髌法治疗膝骨性关节炎的临床研究

Clinical study on knee osteoarthritis treated with the method of regulating palace tendons and vibrating patella

目的:为临床推广臧福科教授的宫廷理筋振髌法,提供理论和实践依据。方法:选取2013年9月至2015年5月的63例膝骨性关节炎(KOA)患者,分为治疗组采用宫廷理筋振髌法,对照组采用传统推拿手法,治疗1个周期。比较治疗前后KOA严重指数(ISOA)评分、疼痛视觉模拟评分(VAS),西安大略麦马斯特大学骨性关节炎指数可视化量表(WOMAC)评分的变化情况。结果:治疗组总有效率93.75%,对照组总有效率74.19%,两组治疗后各项评分均较治疗前明显改善,有显著性差异(P<0.01)。经秩和检验,即认为两组临床疗效评价有显著性差异,治疗组疗效优于对照组(P<0.05)。结论:宫廷理筋振髌法及传统推拿手法均有临床疗效;宫廷理筋振髌法治疗KOA临床疗效更肯定。宫廷理筋振髌法治疗KOA安全有效,操作规范,值得进一步临床研究。

Objective:To provide theoretical and practical basis for clinical application of professor ZANG Fu-ke’s patellar vibration method.Methods:Sixty-three patients with knee osteoarthritis from September 2013 to May 2015 were divided into treatment group and control group.The patients in the treatment group were treated with traditional massage for one cycle,and the patients in the control group were treated with traditional massage.The change of index of Severity for Osteoarthritis(ISOA),Visual Analog Scale(VAS)control score and Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC index)were compared before and after treatment.Results:The total effective rate was 93.75%in the treatment group and 74.19%in the control group.The scores of the two groups were significantly improved after treatment(P<0.01).The rank sum test indicated that there was a significant difference between the two groups in the evaluation of clinical efficacy,and the therapeutic effect of the treatment group was better than that of the control group(P<0.05).Conclusion:Both the patellar vibration method and the traditional massage method have clinical curative effect,and the clinical curative effect is more definite in the treatment of KOA with the method of regulating the tendons and vibrating the patella in the palace.It is safe and effective to treat KOA with the method of regulating tendons and vibrating patella in court.It is worthy of further clinical study because of its standard operation.